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Inquest fails to determine cause of infant’s freezer death, recommends Safe Start reforms

Deputy State Coroner Kasey Pearce urged formal cooperation between two health districts to strengthen the Safe Start program for at-risk families.

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Overview

  • Coronial inquest found insufficient evidence to establish the cause, manner or location of three-month-old KP’s death.
  • KP’s body was discovered wrapped in a blanket on the top shelf of a freezer during a welfare check at a Corowa property in January 2022.
  • Coroner Pearce described the mother’s account of leaving KP with an unidentified man as inherently implausible and unsupported by evidence.
  • The Department of Communities and Justice and local health services missed intervention opportunities but were unlikely to have altered the outcome.
  • Pearce recommended Albury Wodonga Health and Murrumbidgee Local Health District formalize governance of the Safe Start program to improve early support for at-risk families.